OrganizationActive
Legacy Medical Lab Services, LLC
NPI 1902111610 · Clinical Medical Laboratory · Hewitt, TX
Provider details
- NPI number
- 1902111610
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Lisa Rahimi, Vice President(254) 732-3658
- License
- 45D2010680 (TX)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
688 Alliance Pkwy
Suite #200
Hewitt, TX 76643-3585
Phone: (254) 420-4522
Fax: (254) 420-1144
Street-level locationGet directions
Mailing address
Po Box 8
Hewitt, TX 76643-0008
Registry dates
- Enumerated
- 2010-08-18
- Last updated
- 2011-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.